특발성 척추측만증 환자의 방사선학적 지표와 폐기능, 흡기 능력의 관계
Relationship between radiological indices, pulmonary function, and inspiratory capacity in idiopathic scoliosis
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[PURPOSE] The purpose of this study was to investigate the relationship between radiological indices, pulmonary function, and inspiratory capacity in patients with idiopathic scoliosis after taking into account their age, height, weight, muscle mass, and BMI. [METHODS] We enrolled a total of 31 female patients with mild to moderate, right-sided idiopathic scoliosis. We took standardized standing anteroposterior and lateral radiographs using full spine radiography. The following radiological indices were measured: the thoracic Cobb's angle, the level of shoulder asymmetry, the pelvic tilt, the thoracic kyphotic angle, and the number of vertebra. Pulmonary function was measured as the maximum inspiration volume, and our measures of inspiratory capacity were inspiratory pressure and inspiratory velocity. Pearson's and partial correlation analyses were used to analyze data. [RESULTS] We found that pulmonary function was not significantly correlated with age, height, weight, muscle mass, or BMI in patients with mild to moderate idiopathic scoliosis or with a thoracic Cobb’s angle of less than 40°. But we found that inspiratory capacity was significantly correlated with these factors save for height (p<.05). After adjusting for these factors, we found that radiological indices were not significantly correlated with either pulmonary function or inspiratory capacity in these patients. [CONCLUSIONS] After adjusting for factors associated with inspiratory capacity, we found that radiological indices in patients with mild to moderate idiopathic scoliosis were not associated with respiratory parameters such as pulmonary function and inspiratory capacity. Therefore, our data suggest giving a consultation of a possible impairment in pulmonary-related function to such patients on the basis of radiological findings such as the Cobb’s angle may be ungrounded and should be refrained.
Abstract
[PURPOSE] The purpose of this study was to investigate the relationship between radiological indices, pulmonary function, and inspiratory capacity in patients with idiopathic scoliosis after taking into account their age, height, weight, muscle mass, and BMI. [METHODS] We enrolled a total of 31 female patients with mild to moderate, right-sided idiopathic scoliosis. We took standardized standing anteroposterior and lateral radiographs using full spine radiography. The following radiological indices were measured: the thoracic Cobb's angle, the level of shoulder asymmetry, the pelvic tilt, the thoracic kyphotic angle, and the number of vertebra. Pulmonary function was measured as the maximum inspiration volume, and our measures of inspiratory capacity were inspiratory pressure and inspiratory velocity. Pearson's and partial correlation analyses were used to analyze data. [RESULTS] We found that pulmonary function was not significantly correlated with age, height, weight, muscle mass, or BMI in patients with mild to moderate idiopathic scoliosis or with a thoracic Cobb’s angle of less than 40°. But we found that inspiratory capacity was significantly correlated with these factors save for height (p<.05). After adjusting for these factors, we found that radiological indices were not significantly correlated with either pulmonary function or inspiratory capacity in these patients. [CONCLUSIONS] After adjusting for factors associated with inspiratory capacity, we found that radiological indices in patients with mild to moderate idiopathic scoliosis were not associated with respiratory parameters such as pulmonary function and inspiratory capacity. Therefore, our data suggest giving a consultation of a possible impairment in pulmonary-related function to such patients on the basis of radiological findings such as the Cobb’s angle may be ungrounded and should be refrained.
참고문헌 (42)
- 안기찬, "10년간 10, 11세 청소년에서의특발성 척추 측만증 유병률 연구", 대한정형외과학회지, 50(1), pp.25~30 (2015), 대한정형외과학회
- Ardran, G. M., "Assessment of scoliosis in children: Low does radiographic technique", British journal of radiology, 53, pp.146~147 (1980)
- Barrios, C., "Significant ventilatory functional restriction in adolescents with mild or moderate scoliosis during maximal exercise tolerance test", Spine, 30(14), pp.1610~1615 (2005)
- Chung, K. J., "Prevalence of Adolescent Idiopathic Scoliosis through School Screnning", doctor, pp.2007
- Deacon, P., "Idiopathic scoliosis in dimensions. A radiofaphic and morphometric analyis", Journal of bone and joint surgery, 66B, pp.509~512 (1984)
- Diaz, O., "Role of inspiratory capacity on exercise tolerance in COPD patients with and without tidal expiratory flow limitation at rest", The European respiratory journal, 16(2), pp.269~275 (2000)
- Dreimann, M., "Scoliosis and chest cage deformity measures predicting impairments in pulmonary function: a cross-sectional study of 492 patients with scoliosis to improve the early identification of patients at risk", Spine, 39(24), pp.2024~2033 (2014)
- Feng, K., "Relationship of body mass index, fat free mass index, and fat mass index with inspiratory capacity in adults with normal lung function", Zhongguo yi xue ke xue yuan xue bao, 32(1), pp.85~89 (2010)
- Fon, G. T., "Thoracoc kyphosis: Range in normal subjects", American journal of roentgenology, 134(5), pp.979~983 (1990)
- Fujii, T., "Pulmonary function recovery demonstrated by ventilation-perfusion scan after posterior vertebral column resection for severe adolescent idiopathic scoliosis: a case report", Spine, 39(19), pp.E1190~E1194 (2014)
- Green, B. N., "Is physical activity contraindicated for individuals with scoliosis? A systemic literature review", Journal of chiropractic medicine, 8, pp.25~37 (2009)
- 허석원, "Cardiopulmonary function and scoliosis severity in idiopathic scoliosis children", Korean Journal of Pediatrics, 58(6), pp.218~223 (2015), 대한소아과학회
- Kane, W. J., "Scoliosis prevalence: A call for a statement of terms", Clinical orthopaedics and related research, 126, pp.43~46 (1997)
- Kearon, C., "Factors determining pulmonary function in adolescent idiopathic thoracic scolisis", American review of respiratory disease, 148(2), pp.288~294 (1993)
- Keenan, B. E., "Supine to standing Cobb angle change in idiopathic scoliosis: the effect of endplate pre-selection", Scoliosis (2014)
- Kibler, W. B., "The role of core stability in athletic function", Sports medicine, 36(3), pp.189~198 (2012)
- Kim, Y. H., "The effect of pulmonary function with thoracic mobility exercise and deep breathing exercise in stroke patients", Journal of Korean academy of orthopedic manualphysical therapy, 21(1), pp.13~20 (2015)
- Kim, Y. J., "Pulmonary function in adolescent idiopathic scoliosis relative to the surgical procedure", The journal of bone and joint surgery, 87(7), pp.1534~1541 (2005)
- Kim, Y. R., "Improvement of scoliosis and pulmonary function after resistive inspiratory muscle training in patients with spinal cord injury", Archives of physical medicine and rehabilitation, 86(9), pp.e2~ (2005)
- Lee, D. Y., "Pulmonary function in kyphosis and scoliosis of the spine", Journal of the Korean orthopaedic association, 6(4), pp.361~364 (1971)
- 이우형, "여러 가지 자세에서 호흡운동이 척추측만증 환자의 폐기능과 척추 각도에 미치는 영향", 한국발육발달학회지, 21(1), pp.26~32 (2013), 한국발육발달학회
- Lin, M. C., "Pulmonary function and spinal characteristics: their relationships in persons with idiopathic and postpoliomyelitic scoliosis", Archives of physical medicine and rehabilitation, 82(3), pp.335~341 (2001)
- Machida, M., "Cause of idiopathic scoliosis", Spine, 24(24), pp.2576~2583 (1999)
- Metin, G., "Exercise duration rather than peakoxygen uptake better correlates with Fev1 and inspiratory capacity in chronic obstructive pulmonary disease", Archives of medical research, 38(8), pp.876~881 (2007)
- Newton, P. O., "Results of preoperative pulmonary function testing of adolescents with idiopathic scoliosis. A study of six hundred and thirty-one patients", The journal of bone and joint surgery, 87(9), pp.1937~1946 (2005)
- Newton, P. O., "Predictors of change in postoperative pulmonary function in adolescent idiopathic scoliosis: a prospective study of 254 patients", Spine, 32(17), pp.1875~1882 (2007)
- 박상은, "Schroth 처치와 교정운동이 특발성 척추 측만증 환자의 Cobb’s Angle과 폐 기능 변인에 미치는 영향", 한국사회체육학회지, (52), pp.777~788 (2013), 한국사회체육학회
- 박상용, "8주간의 슈로스운동(3차원적 융합운동)이 특발성 척추 측만증 환자의 폐기능과 Cobb's angle, Scoliometer angle, 척추세움근의 근활성도에 미치는 영향", 한국융합학회논문지, 5(4), pp.61~68 (2014), 한국융합학회
- Qiu, X. S., "Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathicscoliosis patients with double thoracic curve", European spine journal, 18(1), pp.45~51 (2009)
- Ratnovsky, A., "Anatomical model of the human trunk for analysis of respiratory muscles mechanics", Respiratory physiology and neurobiology, 148(3), pp.245~262 (2005)
- Roger, W., "Gosstead Ciropractic Science and Art, Spager, Celia, SCE-CHI" (1980), Threatre Arts Books
- "What Are My Treatment Options?" (2015)[URL]
- Shen, N., "Correlation of the quality of life with the inspiratory capacity in patients with chronic obstructive pulmonary disease", Zhonghua jie he he hu xi za zhi, 33(4), pp.261~264 (2010)
- Singer, K. P., "A comparison of radiographic and computer-assisted measurements of thoracic and thoracolumbarsagittal curvature", Skeletal radiology, 19(1), pp.21~26 (1990)
- Smyth, R. J., "Pulmonary function in adolescents with mild idiopathic scoliosis", Thorax, 39(12), pp.901~904 (1984)
- Tantucci, C., "Inspiratory capacity predicts mortality in patients with chronic obstructive pulmonary disease", Respiratory medicine, 102(4), pp.613~619 (2008)
- Upadhyay, S. S., "Relation of spinal and thoracic cage deformities and their flexibilities withaltered pulmonary functions in adolescent idiopathic scoliosis", Spine, 20(22), pp.2415~2420 (1995)
- Weinstein, S. L., "Adolescent idiopathic scoliosis: prevalence and natural history", Instructional course lectures, 38, pp.115~128 (1989)
- Willner, S., "Development of trunk asymmetries and structural scoliosis in prepuberal school children in Malmo: follow-up study of children 10-14 years of age", Journal ofpediatric orthopedics, 4, pp.452~455 (1984)
- Xu, L., "Body Mass Index as an Indicator of Pulmonary Dysfunction in Patients With Adolescent Idiopathic Scoliosis", Journal of spinal disorders and techniques, 28(6), pp.226~231 (2015)
- Yamaguchi, C., "Pulmonary function and movement of the thoracic cage in mild idiopathic thoracic scoliosis", Nihon Seikeigeka Gakkai Zasshi, 58(10), pp.989~1002 (1984)
- Yetkin, O., "Inspiratory capacity and forced expiratory volume in the first second in exacerbation of chronic obstructive pulmonary disease", The clinical respiratory journal, 2(1), pp.36~40 (2008)